Surgery, Its Principles And Practice 4

Cover Surgery, Its Principles And Practice 4
Surgery, Its Principles And Practice 4
Da Costa, J. Chalmers (John Chalmers), 1863-1933
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IV — ^25 386 SURGERY OF THE PROSTATE.
As a rule, these stones have a smoother surface than urinary calculi, but occasionally chemical analysis is necessary in order to distinguish one from the other. The lamellaB are of irregular thickness and between them organic matter may be found. The individual lamelke may give different reactions and vary in hardness. When the stones are small and numerous, the gland on section has a somewhat sieve-hke appearance; frequently there is an associated glandul
...ar hypertrophy and periacinous round-cell infiltration. The epithelium Uning the sac may have entirely disappeared, and in some instances pressure atrophy causes a disappear- ance of the entire gland with the exception of its capsule.
Symptoms. — The evolution of the cUnical symptoms in cases of pros- tatic calculi is slow, as a rule, depending in a large degree upon the loca- tion, the size, and the number of stones. At times the symptoms may be masked by complications, such as renal or vesical calculus, prostatic hypertrophy, or urethral stricture.


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